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Bundled codes for maternity are deleted January 1, 2027Get ready for the change >>
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Coverage profile

Work Passport Health Plan by Molina Healthcare across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Passport Health Plan by Molina Healthcare.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Passport Health Plan by Molina Healthcare.

Available

Other aliases

Also known as

  • 10368
  • 1281
  • 5015
  • 61129
  • 61325
  • 61325MA
  • 6528
  • 8863
  • A6863
  • MLNKY
  • PPHPC
  • UHPJC
  • Passport Health Plan by Molina Healthcare (Medicaid)
  • PASSPORT HEALTH PLAN

Payer policies

Passport Health Plan by Molina Healthcare policies

The first 25 of 379 public policies Substrate tracks for Passport Health Plan by Molina Healthcare, by title. Links open the payer's own document; check its current version before relying on it.

Search all 379 Passport Health Plan by Molina Healthcare policies by CPT code, keyword or policy number →

Routing reference

Passport Health Plan by Molina Healthcare payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Passport Health Plan by Molina Healthcare payer name, operating states, and transaction-specific payer IDs
Payer namePassport Health Plan by Molina HealthcareSource: Substrate payer directory · data last changed
Operating statesKYSource: Substrate payer directory · data last changed
837P professional claims payer IDStedi61325Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi61325Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi61325Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi61325Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityPPHPCSource: Availity payer catalog · catalog dated · matched by payer name
276 claim status payer IDStedi61325Source: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Passport Health Plan by Molina Healthcare. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer name; matched record: PASSPORT HEALTH PLAN. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone numbers6
Passport Health Plan by Molina Healthcare phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(205) 988-2200Other stated contextBenefit context: Other or Additional Payor
  • KY BC AND BS OF ALABAMA 519400
Health Benefit Plan Coverage
phone(404) 842-8000Other stated contextBenefit context: Other or Additional Payor
  • KY BC BS OF GEORGIA H02600
Health Benefit Plan Coverage
phone(800) 282-1016Other stated contextBenefit context: Other or Additional Payor
  • KY ANTHEM 000676
Health Benefit Plan Coverage
phone(800) 451-1527Other stated contextBenefit context: Other or Additional Payor
  • ANTHEM BC BS
Health Benefit Plan Coverage
phone(866) 722-8744Other stated contextBenefit context: Other or Additional Payor
  • KY US HEALTH GROUP 1002453
Health Benefit Plan Coverage
phone(877) 687-1180Other stated contextBenefit context: Other or Additional Payor
  • KY AMBETTER 1002141
Health Benefit Plan Coverage

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Not affiliated with Passport Health Plan by Molina Healthcare or BCBSA.

Confirm routing with your clearinghouse. Report an error

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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